Incisional intercostal hernia after a nephrectomy |
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Authors: | R Rosch K Junge J Conze C J Krones U Klinge V Schumpelick |
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Institution: | (1) Department of Surgery, University Hospital, Aachen, Germany;(2) Department of Surgery of the RWTH-Aachen, Pauwelsstr. 30, 52074 Aachen, Germany |
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Abstract: | The aim of the present case report is to present the diagnostic and therapeutic challenge of intercostal incisional hernia.
We report on a female patient with leftsided intercostal incisional hernia between the eleventh and twelfth rib due to preceding
lumbar incision for tumor nephrectomy. Because of its infrequence, diagnosis was established late although simple clinical
examination and ultrasound investigation displayed the hernia. At laparotomy, a 5×5 cm2 fascial defect with a colonic sliding hernia was found. Hernia repair using permanent mesh reinforcement in the retromuscular
position is described. Abdominal incisional hernia in the intercostal region is rare and therefore easily overlooked. As with
other incisional hernias, the hernia repair using mesh implantation in the retromuscular region is technically feasible and
represents the treatment of choice. |
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Keywords: | Intercostal hernia Incisional hernia Lumbar incision Mesh implantation |
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